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NPI Code Detail

MEDICARE: JONATHAN LITTMAN MD

MEDICARE: JONATHAN LITTMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036072836IL

General Provider Information

NPI Number : 1649221714
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN LITTMAN MD
Provider Business Mailing Address
First Line : 172 SCHILLER ST
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2885
Country : US
Telephone Number : 630-993-5676
Fax Number : 630-758-9940
Provider Business Practice Location Address
First Line : 172 SCHILLER ST
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2885
Country : US
Telephone Number : 630-832-0000
Fax Number : 630-993-9685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2006
Last Update Date : 04/15/2011

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